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1871063834
JEREMY PAUL QUEBODEAUX
LAKE CHARLES, LA
NPI
1871063834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-03
Last Update Date
2018-12-03
Business Address
JEREMY PAUL QUEBODEAUX CIT
145 VICTORIA DR
LAKE CHARLES, LA 70611-4641
Phone number: 337-855-9773
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Mailing Address
JEREMY PAUL QUEBODEAUX CIT
145 VICTORIA DR
LAKE CHARLES, LA 70611-4641
Phone number: 337-855-9773
Copy
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